Active NPI
Judith Ann Hideg, CNP
- Nurse Practitioner
- Canfield, OH
National Provider Identifier
1174500672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP01201
- Practice address
- 3768 Boardman Canfield Rd
Canfield, OH 44406-8502 - Phone
- (330) 533-8490
- Fax
- (330) 533-8783
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP01201 | OH | Primary |
Addresses
Primary practice location
3768 Boardman Canfield Rd
Canfield, OH 44406-8502
Mailing address
3768 Boardman Canfield Rd
Canfield, OH 44406-8502
Phone (330) 533-8490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2326950 | Medicaid | OH | |
| P00144186 | Other | OH | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP01201 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Providers Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Canfield, OH
- NPI 1851377949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1174500672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3768 BOARDMAN CANFIELD RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068502",
"telephone_number": "330-533-8490",
"fax_number": "330-533-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3768 BOARDMAN CANFIELD RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068502",
"telephone_number": "330-533-8490",
"fax_number": "330-533-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDEG",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP01201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2326950",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00144186",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.